Gabriela Maria Antezana
Individual provider Active NPI Behavior Technician · Lafayette, CA
NPI 1902407331 · NPPES record last updated Nov 3, 2020
Key facts
- NPI
- 1902407331
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 3650 Mt Diablo Blvd Ste 107L
Lafayette, CA 94549-3780 - Phone
- (510) 665-9700
- NPI assigned
- Nov 3, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
3650 Mt Diablo Blvd Ste 107L
Lafayette, CA 94549-3780
Mailing address
PO Box 399318
San Francisco, CA 94139-9318
Other practice location 1
8 Tofflemire Dr
Lafayette, CA 94549-4947
Phone (925) 876-5973
Other providers in Lafayette, CA
- Andrew Ferrier, DDS, Corp
- Chris Andrews
- Angela F. Bayat DDS Apdc
- Anka Behavioral Health Incorporated
- Ant Behavior Solutions LLC
- Jessica Natasha Antwine
- Cole Arabian
- Aratow and Colleagues MD PC
- Aratow and Colleagues MD PC
- Anuja Arora
All providers in Lafayette, CA · Behavior Technician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 3, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.